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Licenses
Dentist
Florida
16668
BRIAN M BIVENS
Dentist at Race Trak Rd, Tampa, FL
License number
Florida 16668
Issued Date
Jun 23, 2004
Effective Date
Jun 23, 2004
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
12950 Race Track Rd #107, Tampa, FL 33626
Phone
(813) 443-3505
Organization information
See more information about
BRIAN M BIVENS at bizstanding.com
Brian M. Bivens, D.M.D., M.S., PA
Tampa, FL
Registration:
Jun 2, 2006
Addresses:
12950 Race Trak Rd, Tampa, FL 33626
8708 Bay Crst Ln, Tampa, FL 33615
State ID:
P06000077055
Business type:
Domestic for Profit Corporation
President, Secretary:
Brian M. Bivens (President, Secretary)
Agent:
Patrick M. O'connor
Professional information
Orthodontist At Bivens Orthodontics
Position:
Orthodontist at Bivens Orthodontics
Location:
Tampa/St. Petersburg, Florida Area
Industry:
Medical Practice
Work:
Bivens Orthodontics
-
Orthodontist
Education:
University of Florida
1997 - 2004
DMD, Dentistry
Dr. Brian M Bivens, Tampa FL - DDS (Doctor of Dental Surgery)
Specialties:
Orthodontics, Orthodontics & Dentofacial Orthopedics
Address:
825 W Dr Martin Luther King Jr Blvd, Tampa 33603
(813) 237-1982 (Phone)
,
(813) 232-0744 (Fax)
Languages:
English
Brian Michael Bivens, Tampa FL
Specialties:
Dentist
Address:
825 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603
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